US7998164B2 - Intravascular filter with centering member - Google Patents

Intravascular filter with centering member Download PDF

Info

Publication number
US7998164B2
US7998164B2 US11/077,584 US7758405A US7998164B2 US 7998164 B2 US7998164 B2 US 7998164B2 US 7758405 A US7758405 A US 7758405A US 7998164 B2 US7998164 B2 US 7998164B2
Authority
US
United States
Prior art keywords
filter
blood vessel
elongated wire
filter system
hoop
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related, expires
Application number
US11/077,584
Other versions
US20060203769A1 (en
Inventor
Douglas R. Saholt
Jay Rassat
Mel R. Beulke
Steven E. Peterson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Lifescreen Sciences LLC
Original Assignee
Boston Scientific Scimed Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Boston Scientific Scimed Inc filed Critical Boston Scientific Scimed Inc
Priority to US11/077,584 priority Critical patent/US7998164B2/en
Assigned to BOSTON SCIENTIFIC SCIMED, INC. reassignment BOSTON SCIENTIFIC SCIMED, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: PETERSON, STEVEN E., BEULKE, MEL R., SAHOLT, DOUGLAS R., RASSAT, JAY
Priority to EP13166625.7A priority patent/EP2628463A1/en
Priority to PCT/US2006/004641 priority patent/WO2006098831A1/en
Priority to EP06720575A priority patent/EP1871283A1/en
Priority to JP2008500714A priority patent/JP4932822B2/en
Priority to CA002602048A priority patent/CA2602048A1/en
Publication of US20060203769A1 publication Critical patent/US20060203769A1/en
Publication of US7998164B2 publication Critical patent/US7998164B2/en
Application granted granted Critical
Assigned to ACACIA RESEARCH GROUP LLC reassignment ACACIA RESEARCH GROUP LLC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: BOSTON SCIENTIFIC SCIMED, INC.
Assigned to LIFESCREEN SCIENCES LLC reassignment LIFESCREEN SCIENCES LLC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ACACIA RESEARCH GROUP LLC
Expired - Fee Related legal-status Critical Current
Adjusted expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01Filters implantable into blood vessels
    • A61F2/0103With centering means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01Filters implantable into blood vessels
    • A61F2/0105Open ended, i.e. legs gathered only at one side
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01Filters implantable into blood vessels
    • A61F2/011Instruments for their placement or removal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01Filters implantable into blood vessels
    • A61F2002/016Filters implantable into blood vessels made from wire-like elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004Rounded shapes, e.g. with rounded corners
    • A61F2230/0006Rounded shapes, e.g. with rounded corners circular
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028Shapes in the form of latin or greek characters
    • A61F2230/005Rosette-shaped, e.g. star-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0067Three-dimensional shapes conical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M25/04Holding devices, e.g. on the body in the body, e.g. expansible

Definitions

  • the present invention relates generally to the field of medical devices. More specifically, the present invention pertains to systems and methods for centering intravascular filters within the body.
  • Intravascular filters are typically used in combination with other thrombolytic agents to treat pulmonary embolism occurring within a patient.
  • Such devices are generally implanted within a vessel such as the inferior or superior vena cava, and function by capturing blood clots (emboli) contained in the blood stream before they can reach the lungs and cause permanent damage to the body.
  • blood clots emboli
  • many conventional filters include an apical head operatively coupled to a plurality of elongated filter legs that can be expanded within the body to form a conical-shaped surface that captures blood clots without disturbing the flow of blood. Once collected, a natural clot lysing process occurs within the body to dissolve the blood clots collected by the filter.
  • introducer sheath percutaneously inserted through the femoral (groin) or jugular (neck) veins.
  • introducer sheaths are typically tubular in shape, and include an interior lumen configured to transport the filter in a collapsed position through the body. Once transported to a desired location in the body, the filter can then be removed from within the introducer sheath, allowing the filter legs to spring open and engage the vessel wall.
  • a needle, hook, barb, prong, wedge or other attachment means disposed on the free end of each filter leg can be used to secure the filter to the vessel wall.
  • the efficacy of the intravascular filter to capture blood clots is dependent in part on the ability of the filter to center when deployed within the blood vessel. Tilting of the filter may result if the apical head is not aligned centrally within the vessel, causing the filter legs to asymmetrically engage the vessel wall. Tilting of the filter may also result if the introducer sheath used to deploy the filter is off-centered within the blood vessel. In certain circumstances, tilting of the filter may affect the ability of the device to efficiently capture blood clots contained in the blood.
  • a filter system in accordance with an illustrative embodiment of the present invention may include an intravascular filter, a filter sheath having an interior lumen adapted to contain the intravascular filter, and a centering member adapted to radially expand when deployed within a blood vessel.
  • the centering member may comprise an elongated wire that, when unconstrained radially, assumes a preset shape having a radial section and a hoop section.
  • the radial section may comprise a portion of the elongated wire extending outwardly in a direction substantially orthogonal to the interior wall of the blood vessel.
  • the hoop section may comprise a portion of the elongated wire that radially expands against the inner wall of the blood vessel.
  • a tubular member having an interior lumen can be configured to radially constrain the centering member in a substantially straight position to facilitate delivery and/or retrieval of the filter assembly through the body.
  • the filter system may include multiple centering members that can be used in centering the intravascular filter and/or filter sheath at multiple locations within the blood vessel.
  • a second centering member may be provided at or near the distal end of the filter sheath to center the filter sheath within the blood vessel, if necessary.
  • the second centering member may similarly comprise an elongated wire that, when unconstrained radially within a second interior lumen of the filter sheath, can be configured to assume a preset shape within the blood vessel.
  • the second centering member may include a radial section adapted to extend outwardly in a direction substantially orthogonal to the interior wall of the blood vessel, and a hoop section adapted to radially expand against the inner wall of the blood vessel.
  • An illustrative method of centering an intravascular filter within a patient's blood vessel may include the steps of providing an intravascular filter and centering member within an interior lumen of a filter sheath, inserting the filter sheath into the patient and advancing the filter sheath to a desired location within the blood vessel, deploying the centering member within the blood vessel, and then deploying the intravascular filter within the blood vessel.
  • Other methods and techniques are also described herein.
  • proximal end distal refer to the orientation of the system as delivered by a femoral approach to the vena cava. It is understood that the system could be use in other vessels, and from other approaches.
  • FIG. 1 is perspective view of a filter system in accordance with an illustrative embodiment of the present invention employing a single centering member;
  • FIG. 2 is a partial cross-sectional view showing the centering member disposed through the apical head of the intravascular filter of FIG. 1 ;
  • FIG. 3 is a partial cross-sectional view showing an alternative embodiment employing a tubular member movably disposed relative to the intravascular filter;
  • FIG. 4 is a perspective view of a filter system in accordance with an illustrative embodiment of the present invention employing multiple centering members;
  • FIG. 5 is a transverse cross-sectional view of the filter sheath along line 5 - 5 in FIG. 4 ;
  • FIG. 6 is a partial cross-sectional view showing the illustrative filter system of FIG. 1 in a first position within a blood vessel;
  • FIG. 7 is a partial cross-sectional view showing the illustrative filter system of FIG. 1 in a second position within the blood vessel, wherein the centering member is shown engaged against the vessel wall;
  • FIG. 8 is a partial cross-sectional view showing the illustrative filter system of FIG. 1 in a third position within the blood vessel, wherein the intravascular filter is shown deployed within the blood vessel;
  • FIG. 9 is a partial cross-sectional view showing the illustrative filter system of FIG. 1 in a fourth position within the blood vessel, wherein the centering member and delivery catheter are shown removed from the blood vessel;
  • FIG. 10 is a partial cross-sectional view showing the illustrative filter system of FIG. 4 in a first position within a blood vessel;
  • FIG. 11 is a partial cross-sectional view showing the illustrative filter system of FIG. 4 in a second position within the blood vessel, wherein the second centering member is shown engaged against the vessel wall;
  • FIG. 12 is a partial cross-sectional view showing the illustrative filter system of FIG. 4 in a third position within the blood vessel, wherein the first and second centering members are shown engaged against the vessel wall;
  • FIG. 13 is a partial cross-sectional view showing the illustrative filter system of FIG. 4 in a fourth position within the blood vessel, wherein the intravascular filter is shown deployed within the blood vessel.
  • FIG. 1 is perspective view of a filter system 10 in accordance with an illustrative embodiment of the present invention.
  • Filter system 10 illustratively a filter system for use in the inferior and/or superior vena cava, can include an intravascular filter 12 having an apical head 14 and a plurality of elongated filter legs 16 adapted to expand and secure the intravascular filter 12 to the inner wall of a blood vessel.
  • the free end 18 of each filter leg 16 may include a needle, hook, barb, prong, wedge or other suitable attachment means for securing the intravascular filter 12 to the inner wall of the blood vessel.
  • a number of bend regions 20 located along the length of one or more of the filter legs 16 can also be provided to increase the surface area of the intravascular filter 12 , if desired.
  • the filter legs 16 can be configured to radially collapse within an interior lumen 22 of a filter sheath 24 to delivery and/or receive the intravascular filter 12 through the patient's body.
  • the filter sheath 24 may comprise a tubular member having a distal end 26 and a proximal end (not shown).
  • the intravascular filter 12 is shown withdrawn at least in part from within the interior lumen 22 of the filter sheath 24 , exposing all but the free end 18 of each filter leg 16 . It should be understood, however, that all or a portion of the intravascular filter 12 can be loaded within the interior lumen 22 of the filter sheath 24 , if desired.
  • the filter system 10 may also include a centering member 28 that can be used to aid in centering the intravascular filter 12 within the interior of the blood vessel.
  • the centering member 28 may comprise an elongated wire 30 having a distal end 32 , a proximal end (not shown), and a distal section 34 adapted to assume a preset shape when deployed within the blood vessel.
  • the elongated wire 30 Prior to insertion within the patient's body, the elongated wire 30 can be inserted through an interior lumen 36 formed through the apical head 14 and through the interior lumen 22 of the filter sheath 24 .
  • the distal section 34 may comprise a portion of the elongated wire 30 extending distally from a first bend region 40 of the elongated wire 30 to the distal end 32 thereof.
  • a radial section 42 of the elongated wire 30 extending distally from the first bend region 40 can be adapted to extend outwardly in a direction substantially orthogonal to the interior wall of the blood vessel, when deployed.
  • the length L 1 in which the radial section 42 extends outwardly may vary depending on the particular vessel the intravascular filter 12 is to be inserted into.
  • the length L 1 of the radial section 42 may be in the range of about 6 mm to 15 mm, which is sufficient for blood vessels having a diameter of about 12 mm to 30 mm. It should be understood, however, that the length L 1 of the radial section 42 may vary to permit the centering member 28 to be used in other regions of the body and/or to accommodate for anatomical differences among patients.
  • the radial section 42 may transition to a hoop section 46 of the elongated wire 30 extending circumferentially about a general longitudinal axis L of the intravascular filter 12 and filter sheath 24 .
  • the shape 6 f the hoop section 46 can be selected to approximate the general shape of the blood vessel, allowing the hoop section 46 to radially expand and fully appose the inner wall of the blood vessel.
  • the hoop section 46 of the elongated wire 30 may have a substantially elliptical shape to facilitate centering of the intravascular filter 12 in blood vessels having an oblique or non-symmetrical shape.
  • the hoop section 46 may have a substantially circular shape to facilitate centering of the intravascular filter 12 in blood vessels having a substantially symmetrical shape.
  • the hoop section 46 is configured to lie in a single plane that is oriented substantially orthogonal to the length of the blood vessel.
  • the hoop section 46 can be configured to spiral in multiple planes along the longitudinal axis L.
  • the hoop section 46 may have the general shape of a helix that tapers distally towards the distal end 32 .
  • the hoop section 46 may assume other desired shapes, however, to facilitate centering of the intravascular filter 12 at other locations within the body such as at a branching vessel.
  • the distal end 32 of the elongated wire 30 may curl inwardly towards the longitudinal axis L.
  • the third bend region 48 orients the distal end 32 away from the inner wall of the blood vessel, preventing the distal end 32 from contacting the blood vessel.
  • an overlapping portion 50 of the hoop section 46 wherein the elongated wire 30 is wound adjacent itself can be used to space the distal end 32 away from the second bend region 44 .
  • the distal end 32 may also be rounded to further prevent trauma to the vessel wall.
  • the bend region 48 may be diametrically tapered to further prevent trauma to the vessel wall.
  • FIG. 2 is a partial cross-sectional view showing the centering member 28 disposed through the apical head 14 of the intravascular filter 12 of FIG. 1 .
  • the apical head 14 may include a tubular member 52 having a distal end 54 and a proximal end 56 .
  • the tubular member 52 may comprise a member separate from the apical head 14 (e.g. a hypotube) that is then subsequently attached to the apical head 14 , or, in the alternative, may be formed integral with the apical head 14 .
  • each filter leg 16 can be soldered together using a solder bead, forming an apical head 14 having a generally bulbous shape.
  • the tubular member 52 , filter legs 16 , and apical head 14 may each be formed as a single piece using a suitable process such as insert molding.
  • the length of the tubular member 52 can be made sufficient to permit the distal section 34 of the elongated wire 30 to be loaded into the interior lumen 36 .
  • the inner diameter of the tubular member 52 in turn, can be made slightly larger than the outer diameter of the elongated wire 30 , allowing the elongated wire 30 to move within the interior lumen 36 .
  • the tubular member 52 acts to maintain the elongated wire 30 in a substantially straight position within the interior lumen 36 prior to deployment within the blood vessel.
  • the tubular member 52 also acts to straighten the elongated wire 30 when it is pulled back into the filter sheath 24 for subsequent removal from the body.
  • the elongated wire 30 may be formed from a flexible material that permits it to maintain its preset shape when disposed within the interior lumen 36 of the tubular member 52 .
  • suitable flexible materials may include certain metals, polymers, or metal-polymer compounds.
  • the elongated wire 30 may include a layer or coating of lubricious material such as HYRDOPASS to facilitate movement of the elongated wire 30 through the tubular member 52 and filter sheath 24 , and to reduce trauma to the body caused during deployment of the centering member 28 within the blood vessel.
  • the elongated wire 30 as well as other portions of the filter system 10 may also include an anti-thrombogenic coating such as herapin (or its derivatives), urokinase, or PPack (dextrophenylalanine proline arginine chloromethylketone) to prevent insertion site thrombosis from occurring.
  • An anti-inflammatory agent such as dexamethasone, prednisolone, corticosterone, budesonide, estrogen, sulfasalazine, mesalamine, or any suitable combination or mixture thereof may also be applied to the elongated wire 30 , intravascular filter 12 as well as other components of the filter system 10 to prevent inflammation within the blood vessel.
  • the elongated wire 30 may be formed from a linear elastic material such as a nickel-titanium alloy, which exhibits the ability to undergo significant bending or flexion without imparting a residual stress to the material.
  • suitable linear elastic materials may include, but are not limited to, silver-cadmium (Ag—Cd), gold-cadmium (Au—Cd), gold-copper-zinc (Au—Cu—Zn), copper-aluminum-nickel (Cu—Al—Ni), copper-gold-zinc (Cu—Au—Zn), copper-zinc (Cu—Zn), copper-zinc-aluminum (Cu—Zn—Al), copper-zinc-tin (Cu—Zn—Sn), copper-zinc-silicon (Cu—Zn—Si), iron-beryllium (Fe—Be), iron-nickel-titanium-cobalt (Fe—Ni—Ti—Co), iron-platinum (Fe—Pt),
  • the elongated wire 30 may be combined with other materials such as stainless steel, platinum, titanium, etc. to form a composite material exhibiting certain desirable characteristics within the body.
  • the linear elastic material may be joined together with a relatively radiopaque material such as platinum (Pt) to increase the radiopacity of the composite member, allowing the centering member 28 to be viewed radiographically with the aid of a fluoroscope.
  • the elongated wire 30 may be formed from a shape-memory material that has been heat treated to impart a shape memory effect to distal section 34 , allowing the centering member 28 to be transformed from a substantially straight position to an expanded (i.e. Centering) position when withdrawn from within the tubular member 52 .
  • the elongated wire 30 may be formed of or otherwise include a shape-memory alloy such as a nickel-titanium alloy (Nitinol) configured to transform from a martensite state to an austenite state at or about body temperature, allowing the centering member 28 to assume a preset shape when exposed to blood within the blood vessel.
  • FIG. 3 is a partial cross-sectional view showing an alternative embodiment employing a tubular member 60 movably disposed relative to the intravascular filter 12 .
  • the tubular member 60 has a distal end 62 , a proximal end (not shown), and an interior lumen 64 therethrough adapted slidably receive the distal section 34 of centering member 28 in a manner similar to that described above with respect to FIG. 2 .
  • the tubular member 60 can be configured to move independently of the intravascular filter 12 , allowing the physician to further remove the tubular member 60 from the body once the intravascular filter 12 has been deployed within the blood vessel.
  • the tubular member 60 can be either connected to the filter sheath 24 , or can be configured to independently move within the interior lumen 22 of the filter sheath 24 .
  • the interior lumen 36 of the apical head 14 can be sized to slidably receive the tubular member 60 to facilitate advancement of the centering member 28 distally beyond the distal end 68 of the apical head 14 .
  • a tapered inner portion 70 of the apical head 14 extending inwardly into the interior lumen 36 can be configured to prevent the physician from overextending the distal end 62 of the tubular member 60 beyond the distal end 68 of the apical head 14 .
  • the tapered inner portion 70 acts as a distal stop as the physician advances the tubular member 60 through the interior lumen 36 , preventing the tubular member 60 from being advanced distally beyond the distal end 68 of the apical head 14 .
  • the tapered inner portion 70 may also provide the physician with tactile feedback that the centering member 28 is in the proper position within the interior lumen 36 for deployment.
  • FIG. 4 is a perspective view of a filter system 72 in accordance with another illustrative embodiment of the present invention employing two centering members.
  • Filter system 72 may be configured similar to filter system 10 described above with respect to FIGS. 1-2 , with like elements being labeled in like fashion.
  • the filter system 72 may further include a second centering member 74 that can be used to aid in centering the base of the intravascular filter 12 within the blood vessel.
  • the second centering member 74 may comprise an elongated wire 76 having a distal end 78 , a proximal end (not shown), and a distal section 80 adapted to assume a preset shape when deployed within the blood vessel.
  • the distal section 80 may comprise a portion of the elongated wire 76 extending distally from a first bend region 82 to the distal end 78 thereof.
  • a radial section 84 of the elongated wire 76 extending distally from the first bend region 82 can be adapted to extend outwardly in a direction substantially orthogonal to the interior wall of the blood vessel, when deployed.
  • the length L 2 of the radial section 84 may vary depending on the size of the blood vessel.
  • the length L 2 of the radial section 84 may be made similar to the length L 1 of radial section 42 , or may be made grater or lesser than length L 1 .
  • the elongated wire 76 may transition to a hoop section 88 of the elongated wire 76 extending circumferentially about the longitudinal axis L.
  • the shape of the hoop section 88 can be selected to approximate the general shape of the blood vessel, similar to that described above with respect to the other centering member 28 .
  • Other features such as a third bend region 90 forming a curled (i.e. atraumatic) distal end 78 may also be provided, if desired.
  • the filter system 72 may further include a filter sheath 92 having a distal end 94 , a proximal end (not shown), and an interior lumen 96 therethrough adapted to slidably receive the intravascular filter 12 and a portion of the elongated wire 30 .
  • a second interior lumen 98 of the filter sheath 92 can be adapted to slidably receive the second elongated wire 76 , allowing the physician to deploy the second centering member 74 within the blood vessel at a location at or near the distal end 94 of the filter sheath 92 .
  • a lumen opening 100 provided in the wall 102 of the filter sheath 92 may form an exit port, allowing the physician to advance the second elongated wire 76 distally out from within the second interior lumen 98 to deploy the second centering member 74 within the blood vessel.
  • FIGS. 6-9 an illustrative method of centering an intravascular filter in accordance with the present invention will now be described with respect to filter system 10 described above.
  • the intravascular filter 12 and centering member 28 are shown loaded into the interior lumen 22 of the filter sheath 24 and advanced to a desired location within a blood vessel V (e.g. the superior or inferior vena cava).
  • V e.g. the superior or inferior vena cava
  • the centering member 28 can be configured to maintain a substantially straight shape when radially constrained within the interior lumen 36 of the tubular member 52 .
  • Such straight shape permits the filter system 10 to assume a relatively small profile when transported through the vasculature, allowing the physician to employ a smaller sized filter sheath 24 .
  • the physician may next advance the elongated wire 30 distally out from within the interior lumen 36 , causing the distal section 34 of the elongated wire 30 to assume its preset shape within the blood vessel V.
  • the elongated wire 30 can be deployed within the blood vessel V by holding the filter sheath 24 and intravascular filter 12 stationary while advancing the elongated wire 30 distally, or, in the alternative, by holding the elongated wire 30 stationary and retracting the filter sheath 24 and intravascular filter 12 proximally.
  • a combination of the two techniques may also be performed to deploy the centering member 28 , if desired.
  • the hoop section 46 can be configured to radially expand and fully appose the vessel wall, as shown, for example, in FIG. 7 .
  • a centering force is exerted against the apical head 14 by the elongated wire 30 , causing the intravascular filer 12 to align centrally within the blood vessel V.
  • the filter system 10 is off-centered within the blood vessel V (see FIG. 6 )
  • the general alignment of the elongated wire 30 centrally within the blood vessel V produces a centering force that re-aligns the intravascular filter 12 within the blood vessel V.
  • the physician may next retract the filter sheath 24 in the proximal direction to expose the filter legs 16 , as shown, for example, in FIG. 8 .
  • a pusher tube 104 can be provided within the interior lumen 22 of the filter sheath 24 to hold the intravascular filter 12 stationary as the filter sheath 24 is being retracted proximally.
  • the physician may next pull the elongated wire 30 proximally through the tubular member 52 and out of the body, if desired. As shown in a subsequent view in FIG. 9 , the filter sheath 24 and centering member 28 can then be removed from the body, leaving the centered intravascular filter 12 within the blood vessel V.
  • FIGS. 10-14 another illustrative method of centering an intravascular filter in accordance with the present invention will now be described with respect to filter system 72 described above.
  • the intravascular filter 12 , first centering member 28 , and second centering member 74 are shown loaded into the filter sheath 92 and advanced to a desired location within a blood vessel V (e.g. the inferior vena cava).
  • V e.g. the inferior vena cava
  • the physician may next advance the second elongated wire 76 distally out from the second interior lumen 98 through the lumen opening 100 .
  • the hoop section 88 can be configured to radially expand and fully appose the vessel wall, as shown, for example, in FIG. 11 . When this occurs, the centering force of the elongated wire 76 exerted against the filter sheath 92 causes the filter sheath 92 to align centrally within the blood vessel V.
  • the physician may further advance the first elongated wire 30 distally out from within the interior lumen 36 , causing the distal section 34 of the elongated wire 30 to assume its preset shape within the blood vessel V, as shown, for example, in FIG. 12 .
  • the physician may next retract the second elongated wire 76 proximally within the filter sheath 92 , causing the distal section 80 to straighten within the second interior lumen 98 .
  • the physician while holding the first elongated wire 30 stationary, may also retract the filter sheath 92 proximally to expose the filter legs 16 , as shown, for example, in FIG. 13 .
  • a pusher tube 104 can be provided within the interior lumen 96 of the filter sheath 92 to hold the intravascular filter 12 stationary as the filter sheath 92 is being retracted.
  • the physician may next pull the elongated wire 30 proximally through the tubular member 52 .
  • the filter sheath 92 and centering members 28 , 74 can then be removed from the body, leaving the centered intravascular filter 12 within the blood vessel V.
  • FIGS. 11-12 show the deployment of the second centering member 74 prior to the first centering member 28
  • other embodiments have been envisioned wherein the first centering member 28 is deployed prior to the second centering member 74 , or wherein both centering members 28 , 74 are deployed at or about the same time.

Abstract

Devices and methods for centering an intravascular filter within a blood vessel are disclosed. A filter system in accordance with an exemplary embodiment of the present invention may include an intravascular filter, a filter sheath adapted to contain the intravascular filter, and a centering member adapted to assume a preset shape when deployed within a blood vessel. The centering member may comprise an elongated wire having a hoop section adapted to radially expand against the inner wall of the blood vessel when deployed. In some embodiments, multiple centering members can be employed to facilitate centering of both the intravascular filter and the filter sheath within the blood vessel, if desired.

Description

TECHNICAL FIELD
The present invention relates generally to the field of medical devices. More specifically, the present invention pertains to systems and methods for centering intravascular filters within the body.
BACKGROUND
Intravascular filters are typically used in combination with other thrombolytic agents to treat pulmonary embolism occurring within a patient. Such devices are generally implanted within a vessel such as the inferior or superior vena cava, and function by capturing blood clots (emboli) contained in the blood stream before they can reach the lungs and cause permanent damage to the body. To trap emboli contained within the blood, many conventional filters include an apical head operatively coupled to a plurality of elongated filter legs that can be expanded within the body to form a conical-shaped surface that captures blood clots without disturbing the flow of blood. Once collected, a natural clot lysing process occurs within the body to dissolve the blood clots collected by the filter.
Delivery of the intravascular filter within the body is generally accomplished via an introducer sheath percutaneously inserted through the femoral (groin) or jugular (neck) veins. Such introducer sheaths are typically tubular in shape, and include an interior lumen configured to transport the filter in a collapsed position through the body. Once transported to a desired location in the body, the filter can then be removed from within the introducer sheath, allowing the filter legs to spring open and engage the vessel wall. A needle, hook, barb, prong, wedge or other attachment means disposed on the free end of each filter leg can be used to secure the filter to the vessel wall.
The efficacy of the intravascular filter to capture blood clots is dependent in part on the ability of the filter to center when deployed within the blood vessel. Tilting of the filter may result if the apical head is not aligned centrally within the vessel, causing the filter legs to asymmetrically engage the vessel wall. Tilting of the filter may also result if the introducer sheath used to deploy the filter is off-centered within the blood vessel. In certain circumstances, tilting of the filter may affect the ability of the device to efficiently capture blood clots contained in the blood.
SUMMARY
The present invention pertains to systems and methods for centering intravascular filters within the body. A filter system in accordance with an illustrative embodiment of the present invention may include an intravascular filter, a filter sheath having an interior lumen adapted to contain the intravascular filter, and a centering member adapted to radially expand when deployed within a blood vessel. The centering member may comprise an elongated wire that, when unconstrained radially, assumes a preset shape having a radial section and a hoop section. The radial section may comprise a portion of the elongated wire extending outwardly in a direction substantially orthogonal to the interior wall of the blood vessel. The hoop section, in turn, may comprise a portion of the elongated wire that radially expands against the inner wall of the blood vessel. In some embodiments, a tubular member having an interior lumen can be configured to radially constrain the centering member in a substantially straight position to facilitate delivery and/or retrieval of the filter assembly through the body.
In certain embodiments, the filter system may include multiple centering members that can be used in centering the intravascular filter and/or filter sheath at multiple locations within the blood vessel. In one illustrative embodiment, for example, a second centering member may be provided at or near the distal end of the filter sheath to center the filter sheath within the blood vessel, if necessary. The second centering member may similarly comprise an elongated wire that, when unconstrained radially within a second interior lumen of the filter sheath, can be configured to assume a preset shape within the blood vessel. As with the other embodiments described herein, the second centering member may include a radial section adapted to extend outwardly in a direction substantially orthogonal to the interior wall of the blood vessel, and a hoop section adapted to radially expand against the inner wall of the blood vessel.
An illustrative method of centering an intravascular filter within a patient's blood vessel may include the steps of providing an intravascular filter and centering member within an interior lumen of a filter sheath, inserting the filter sheath into the patient and advancing the filter sheath to a desired location within the blood vessel, deploying the centering member within the blood vessel, and then deploying the intravascular filter within the blood vessel. Other methods and techniques are also described herein. As used herein proximal end distal refer to the orientation of the system as delivered by a femoral approach to the vena cava. It is understood that the system could be use in other vessels, and from other approaches.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is perspective view of a filter system in accordance with an illustrative embodiment of the present invention employing a single centering member;
FIG. 2 is a partial cross-sectional view showing the centering member disposed through the apical head of the intravascular filter of FIG. 1;
FIG. 3 is a partial cross-sectional view showing an alternative embodiment employing a tubular member movably disposed relative to the intravascular filter;
FIG. 4 is a perspective view of a filter system in accordance with an illustrative embodiment of the present invention employing multiple centering members;
FIG. 5 is a transverse cross-sectional view of the filter sheath along line 5-5 in FIG. 4;
FIG. 6 is a partial cross-sectional view showing the illustrative filter system of FIG. 1 in a first position within a blood vessel;
FIG. 7 is a partial cross-sectional view showing the illustrative filter system of FIG. 1 in a second position within the blood vessel, wherein the centering member is shown engaged against the vessel wall;
FIG. 8 is a partial cross-sectional view showing the illustrative filter system of FIG. 1 in a third position within the blood vessel, wherein the intravascular filter is shown deployed within the blood vessel;
FIG. 9 is a partial cross-sectional view showing the illustrative filter system of FIG. 1 in a fourth position within the blood vessel, wherein the centering member and delivery catheter are shown removed from the blood vessel;
FIG. 10 is a partial cross-sectional view showing the illustrative filter system of FIG. 4 in a first position within a blood vessel;
FIG. 11 is a partial cross-sectional view showing the illustrative filter system of FIG. 4 in a second position within the blood vessel, wherein the second centering member is shown engaged against the vessel wall;
FIG. 12 is a partial cross-sectional view showing the illustrative filter system of FIG. 4 in a third position within the blood vessel, wherein the first and second centering members are shown engaged against the vessel wall; and
FIG. 13 is a partial cross-sectional view showing the illustrative filter system of FIG. 4 in a fourth position within the blood vessel, wherein the intravascular filter is shown deployed within the blood vessel.
DETAILED DESCRIPTION
The following description should be read with reference to the drawings, in which like elements in different drawings are numbered in like fashion. The drawings, which are not necessarily to scale, depict selected embodiments and are not intended to limit the scope of the invention. Although examples of construction, dimensions, and materials are illustrated for the various elements, those skilled in the art will recognize that many of the examples provided have suitable alternatives that may be utilized.
FIG. 1 is perspective view of a filter system 10 in accordance with an illustrative embodiment of the present invention. Filter system 10, illustratively a filter system for use in the inferior and/or superior vena cava, can include an intravascular filter 12 having an apical head 14 and a plurality of elongated filter legs 16 adapted to expand and secure the intravascular filter 12 to the inner wall of a blood vessel. The free end 18 of each filter leg 16 may include a needle, hook, barb, prong, wedge or other suitable attachment means for securing the intravascular filter 12 to the inner wall of the blood vessel. A number of bend regions 20 located along the length of one or more of the filter legs 16 can also be provided to increase the surface area of the intravascular filter 12, if desired.
The filter legs 16 can be configured to radially collapse within an interior lumen 22 of a filter sheath 24 to delivery and/or receive the intravascular filter 12 through the patient's body. The filter sheath 24 may comprise a tubular member having a distal end 26 and a proximal end (not shown). For sake of clarity in FIG. 1, the intravascular filter 12 is shown withdrawn at least in part from within the interior lumen 22 of the filter sheath 24, exposing all but the free end 18 of each filter leg 16. It should be understood, however, that all or a portion of the intravascular filter 12 can be loaded within the interior lumen 22 of the filter sheath 24, if desired.
As can be further seen in FIG. 1, the filter system 10 may also include a centering member 28 that can be used to aid in centering the intravascular filter 12 within the interior of the blood vessel. The centering member 28 may comprise an elongated wire 30 having a distal end 32, a proximal end (not shown), and a distal section 34 adapted to assume a preset shape when deployed within the blood vessel. Prior to insertion within the patient's body, the elongated wire 30 can be inserted through an interior lumen 36 formed through the apical head 14 and through the interior lumen 22 of the filter sheath 24.
The distal section 34 may comprise a portion of the elongated wire 30 extending distally from a first bend region 40 of the elongated wire 30 to the distal end 32 thereof. A radial section 42 of the elongated wire 30 extending distally from the first bend region 40 can be adapted to extend outwardly in a direction substantially orthogonal to the interior wall of the blood vessel, when deployed. The length L1 in which the radial section 42 extends outwardly may vary depending on the particular vessel the intravascular filter 12 is to be inserted into. In applications involving the superior or inferior vena cava, for example, the length L1 of the radial section 42 may be in the range of about 6 mm to 15 mm, which is sufficient for blood vessels having a diameter of about 12 mm to 30 mm. It should be understood, however, that the length L1 of the radial section 42 may vary to permit the centering member 28 to be used in other regions of the body and/or to accommodate for anatomical differences among patients.
At a second bend region 44 of the distal section 34, the radial section 42 may transition to a hoop section 46 of the elongated wire 30 extending circumferentially about a general longitudinal axis L of the intravascular filter 12 and filter sheath 24. The shape 6f the hoop section 46 can be selected to approximate the general shape of the blood vessel, allowing the hoop section 46 to radially expand and fully appose the inner wall of the blood vessel. In certain embodiments, for example, the hoop section 46 of the elongated wire 30 may have a substantially elliptical shape to facilitate centering of the intravascular filter 12 in blood vessels having an oblique or non-symmetrical shape. In other embodiments, the hoop section 46 may have a substantially circular shape to facilitate centering of the intravascular filter 12 in blood vessels having a substantially symmetrical shape.
In the illustrative embodiment of FIG. 1, the hoop section 46 is configured to lie in a single plane that is oriented substantially orthogonal to the length of the blood vessel. In an alternative embodiment, the hoop section 46 can be configured to spiral in multiple planes along the longitudinal axis L. In the latter case, for example, the hoop section 46 may have the general shape of a helix that tapers distally towards the distal end 32. The hoop section 46 may assume other desired shapes, however, to facilitate centering of the intravascular filter 12 at other locations within the body such as at a branching vessel.
At a third bend region 48 of the distal section 34, the distal end 32 of the elongated wire 30 may curl inwardly towards the longitudinal axis L. In use, the third bend region 48 orients the distal end 32 away from the inner wall of the blood vessel, preventing the distal end 32 from contacting the blood vessel. If desired, an overlapping portion 50 of the hoop section 46 wherein the elongated wire 30 is wound adjacent itself can be used to space the distal end 32 away from the second bend region 44. In some embodiments, the distal end 32 may also be rounded to further prevent trauma to the vessel wall. Also, the bend region 48 may be diametrically tapered to further prevent trauma to the vessel wall.
FIG. 2 is a partial cross-sectional view showing the centering member 28 disposed through the apical head 14 of the intravascular filter 12 of FIG. 1. As shown in FIG. 2, the apical head 14 may include a tubular member 52 having a distal end 54 and a proximal end 56. The tubular member 52 may comprise a member separate from the apical head 14 (e.g. a hypotube) that is then subsequently attached to the apical head 14, or, in the alternative, may be formed integral with the apical head 14. In certain embodiments, for example, the tubular member 52 and joined end 58 of each filter leg 16 can be soldered together using a solder bead, forming an apical head 14 having a generally bulbous shape. In an alternative technique, the tubular member 52, filter legs 16, and apical head 14 may each be formed as a single piece using a suitable process such as insert molding.
The length of the tubular member 52 can be made sufficient to permit the distal section 34 of the elongated wire 30 to be loaded into the interior lumen 36. The inner diameter of the tubular member 52, in turn, can be made slightly larger than the outer diameter of the elongated wire 30, allowing the elongated wire 30 to move within the interior lumen 36. In use, the tubular member 52 acts to maintain the elongated wire 30 in a substantially straight position within the interior lumen 36 prior to deployment within the blood vessel. The tubular member 52 also acts to straighten the elongated wire 30 when it is pulled back into the filter sheath 24 for subsequent removal from the body.
The elongated wire 30 may be formed from a flexible material that permits it to maintain its preset shape when disposed within the interior lumen 36 of the tubular member 52. Examples of suitable flexible materials may include certain metals, polymers, or metal-polymer compounds. In some embodiments, the elongated wire 30 may include a layer or coating of lubricious material such as HYRDOPASS to facilitate movement of the elongated wire 30 through the tubular member 52 and filter sheath 24, and to reduce trauma to the body caused during deployment of the centering member 28 within the blood vessel. The elongated wire 30 as well as other portions of the filter system 10 may also include an anti-thrombogenic coating such as herapin (or its derivatives), urokinase, or PPack (dextrophenylalanine proline arginine chloromethylketone) to prevent insertion site thrombosis from occurring. An anti-inflammatory agent such as dexamethasone, prednisolone, corticosterone, budesonide, estrogen, sulfasalazine, mesalamine, or any suitable combination or mixture thereof may also be applied to the elongated wire 30, intravascular filter 12 as well as other components of the filter system 10 to prevent inflammation within the blood vessel.
In some embodiments, the elongated wire 30 may be formed from a linear elastic material such as a nickel-titanium alloy, which exhibits the ability to undergo significant bending or flexion without imparting a residual stress to the material. Examples of other suitable linear elastic materials may include, but are not limited to, silver-cadmium (Ag—Cd), gold-cadmium (Au—Cd), gold-copper-zinc (Au—Cu—Zn), copper-aluminum-nickel (Cu—Al—Ni), copper-gold-zinc (Cu—Au—Zn), copper-zinc (Cu—Zn), copper-zinc-aluminum (Cu—Zn—Al), copper-zinc-tin (Cu—Zn—Sn), copper-zinc-silicon (Cu—Zn—Si), iron-beryllium (Fe—Be), iron-nickel-titanium-cobalt (Fe—Ni—Ti—Co), iron-platinum (Fe—Pt), indium-thallium (In—TI), iron-manganese (Fe—Mn), nickel-titanium-cobalt (Ni—Ti—Co), and copper-tin (Cu—Sn). In certain embodiments, the elongated wire 30 may be combined with other materials such as stainless steel, platinum, titanium, etc. to form a composite material exhibiting certain desirable characteristics within the body. In certain applications, for example, the linear elastic material may be joined together with a relatively radiopaque material such as platinum (Pt) to increase the radiopacity of the composite member, allowing the centering member 28 to be viewed radiographically with the aid of a fluoroscope.
In another aspect of the present invention, the elongated wire 30 may be formed from a shape-memory material that has been heat treated to impart a shape memory effect to distal section 34, allowing the centering member 28 to be transformed from a substantially straight position to an expanded (i.e. Centering) position when withdrawn from within the tubular member 52. In certain embodiments, for example, the elongated wire 30 may be formed of or otherwise include a shape-memory alloy such as a nickel-titanium alloy (Nitinol) configured to transform from a martensite state to an austenite state at or about body temperature, allowing the centering member 28 to assume a preset shape when exposed to blood within the blood vessel.
FIG. 3 is a partial cross-sectional view showing an alternative embodiment employing a tubular member 60 movably disposed relative to the intravascular filter 12. As shown in FIG. 3, the tubular member 60 has a distal end 62, a proximal end (not shown), and an interior lumen 64 therethrough adapted slidably receive the distal section 34 of centering member 28 in a manner similar to that described above with respect to FIG. 2. As indicated by the arrow 66, however, the tubular member 60 can be configured to move independently of the intravascular filter 12, allowing the physician to further remove the tubular member 60 from the body once the intravascular filter 12 has been deployed within the blood vessel. The tubular member 60 can be either connected to the filter sheath 24, or can be configured to independently move within the interior lumen 22 of the filter sheath 24.
The interior lumen 36 of the apical head 14 can be sized to slidably receive the tubular member 60 to facilitate advancement of the centering member 28 distally beyond the distal end 68 of the apical head 14. If desired, a tapered inner portion 70 of the apical head 14 extending inwardly into the interior lumen 36 can be configured to prevent the physician from overextending the distal end 62 of the tubular member 60 beyond the distal end 68 of the apical head 14. In use, the tapered inner portion 70 acts as a distal stop as the physician advances the tubular member 60 through the interior lumen 36, preventing the tubular member 60 from being advanced distally beyond the distal end 68 of the apical head 14. In some cases, the tapered inner portion 70 may also provide the physician with tactile feedback that the centering member 28 is in the proper position within the interior lumen 36 for deployment.
FIG. 4 is a perspective view of a filter system 72 in accordance with another illustrative embodiment of the present invention employing two centering members. Filter system 72 may be configured similar to filter system 10 described above with respect to FIGS. 1-2, with like elements being labeled in like fashion. In the illustrative embodiment of FIG. 4, however, the filter system 72 may further include a second centering member 74 that can be used to aid in centering the base of the intravascular filter 12 within the blood vessel.
The second centering member 74 may comprise an elongated wire 76 having a distal end 78, a proximal end (not shown), and a distal section 80 adapted to assume a preset shape when deployed within the blood vessel. In a generally deployed position illustrated in FIG. 4, the distal section 80 may comprise a portion of the elongated wire 76 extending distally from a first bend region 82 to the distal end 78 thereof. A radial section 84 of the elongated wire 76 extending distally from the first bend region 82 can be adapted to extend outwardly in a direction substantially orthogonal to the interior wall of the blood vessel, when deployed. As with the first centering member 28, the length L2 of the radial section 84 may vary depending on the size of the blood vessel. The length L2 of the radial section 84 may be made similar to the length L1 of radial section 42, or may be made grater or lesser than length L1.
At a second bend region 86 of the distal section 80, the elongated wire 76 may transition to a hoop section 88 of the elongated wire 76 extending circumferentially about the longitudinal axis L. The shape of the hoop section 88 can be selected to approximate the general shape of the blood vessel, similar to that described above with respect to the other centering member 28. Other features such as a third bend region 90 forming a curled (i.e. atraumatic) distal end 78 may also be provided, if desired.
The filter system 72 may further include a filter sheath 92 having a distal end 94, a proximal end (not shown), and an interior lumen 96 therethrough adapted to slidably receive the intravascular filter 12 and a portion of the elongated wire 30. A second interior lumen 98 of the filter sheath 92, in turn, can be adapted to slidably receive the second elongated wire 76, allowing the physician to deploy the second centering member 74 within the blood vessel at a location at or near the distal end 94 of the filter sheath 92. As can be seen in further detail in FIG. 5, a lumen opening 100 provided in the wall 102 of the filter sheath 92 may form an exit port, allowing the physician to advance the second elongated wire 76 distally out from within the second interior lumen 98 to deploy the second centering member 74 within the blood vessel.
Referring now to FIGS. 6-9, an illustrative method of centering an intravascular filter in accordance with the present invention will now be described with respect to filter system 10 described above. In a first position illustrated in FIG. 6, the intravascular filter 12 and centering member 28 are shown loaded into the interior lumen 22 of the filter sheath 24 and advanced to a desired location within a blood vessel V (e.g. the superior or inferior vena cava). As shown in FIG. 6, the centering member 28 can be configured to maintain a substantially straight shape when radially constrained within the interior lumen 36 of the tubular member 52. Such straight shape permits the filter system 10 to assume a relatively small profile when transported through the vasculature, allowing the physician to employ a smaller sized filter sheath 24.
Once the filter system 10 is advanced to a desired location within the blood vessel V, the physician may next advance the elongated wire 30 distally out from within the interior lumen 36, causing the distal section 34 of the elongated wire 30 to assume its preset shape within the blood vessel V. The elongated wire 30 can be deployed within the blood vessel V by holding the filter sheath 24 and intravascular filter 12 stationary while advancing the elongated wire 30 distally, or, in the alternative, by holding the elongated wire 30 stationary and retracting the filter sheath 24 and intravascular filter 12 proximally. A combination of the two techniques may also be performed to deploy the centering member 28, if desired.
Once the centering member 28 is withdrawn from the tubular member 52, the hoop section 46 can be configured to radially expand and fully appose the vessel wall, as shown, for example, in FIG. 7. When this occurs, a centering force is exerted against the apical head 14 by the elongated wire 30, causing the intravascular filer 12 to align centrally within the blood vessel V. If, for example, the filter system 10 is off-centered within the blood vessel V (see FIG. 6), the general alignment of the elongated wire 30 centrally within the blood vessel V produces a centering force that re-aligns the intravascular filter 12 within the blood vessel V.
To deploy the intravascular filter 12 within the blood vessel V, the physician, while holding the elongated wire 30 stationary, may next retract the filter sheath 24 in the proximal direction to expose the filter legs 16, as shown, for example, in FIG. 8. If desired, a pusher tube 104 can be provided within the interior lumen 22 of the filter sheath 24 to hold the intravascular filter 12 stationary as the filter sheath 24 is being retracted proximally. Once the intravascular filter 12 is deployed within the blood vessel V, the physician may next pull the elongated wire 30 proximally through the tubular member 52 and out of the body, if desired. As shown in a subsequent view in FIG. 9, the filter sheath 24 and centering member 28 can then be removed from the body, leaving the centered intravascular filter 12 within the blood vessel V.
Turning now to FIGS. 10-14, another illustrative method of centering an intravascular filter in accordance with the present invention will now be described with respect to filter system 72 described above. In a first position illustrated in FIG. 10, the intravascular filter 12, first centering member 28, and second centering member 74 are shown loaded into the filter sheath 92 and advanced to a desired location within a blood vessel V (e.g. the inferior vena cava).
Once the filter system 72 is advanced to a desired location within the blood vessel V, the physician may next advance the second elongated wire 76 distally out from the second interior lumen 98 through the lumen opening 100. Once the centering member 74 is deployed within the blood vessel V, the hoop section 88 can be configured to radially expand and fully appose the vessel wall, as shown, for example, in FIG. 11. When this occurs, the centering force of the elongated wire 76 exerted against the filter sheath 92 causes the filter sheath 92 to align centrally within the blood vessel V.
In addition to deploying the second centering member 74 within the blood vessel V, the physician may further advance the first elongated wire 30 distally out from within the interior lumen 36, causing the distal section 34 of the elongated wire 30 to assume its preset shape within the blood vessel V, as shown, for example, in FIG. 12.
To deploy the intravascular filter 12 within the blood vessel V, the physician may next retract the second elongated wire 76 proximally within the filter sheath 92, causing the distal section 80 to straighten within the second interior lumen 98. The physician, while holding the first elongated wire 30 stationary, may also retract the filter sheath 92 proximally to expose the filter legs 16, as shown, for example, in FIG. 13. If desired, a pusher tube 104 can be provided within the interior lumen 96 of the filter sheath 92 to hold the intravascular filter 12 stationary as the filter sheath 92 is being retracted. Once the intravascular filter 12 is deployed within the blood vessel V, the physician may next pull the elongated wire 30 proximally through the tubular member 52. The filter sheath 92 and centering members 28,74 can then be removed from the body, leaving the centered intravascular filter 12 within the blood vessel V.
While the illustrative steps depicted in FIGS. 11-12 show the deployment of the second centering member 74 prior to the first centering member 28, other embodiments have been envisioned wherein the first centering member 28 is deployed prior to the second centering member 74, or wherein both centering members 28,74 are deployed at or about the same time.
Having thus described the several embodiments of the present invention, those of skill in the art will readily appreciate that other embodiments may be made and used which fall within the scope of the claims attached hereto. Numerous advantages of the invention covered by this document have been set forth in the foregoing description. It will be understood that this disclosure is, in many respects, only illustrative. Changes can be made with respect to various elements described herein without exceeding the scope of the invention.

Claims (21)

1. A filter system, comprising:
an intravascular filter including a plurality of elongated filter legs operatively coupled to an apical head;
wherein the apical head has a proximal end and a distal end;
wherein the elongated filter legs extend proximally of the proximal end of the apical head when the filter is deployed within a blood vessel;
a filter sheath having a first end, a proximal end, and an interior lumen adapted to contain the intravascular filter; and
a centering hoop including an elongated wire adapted to assume a preset shape when deployed within a blood vessel, wherein the centering hoop is disposed distally of the distal end of the apical head and radially expands against the inner wall of the blood vessel when the filter is deployed;
wherein the centering hoop is slidably disposed within an interior lumen of the apical head;
wherein the elongated wire includes a first end and a proximal end;
wherein the preset shape of the elongated wire includes a radial section and a hoop section, the hoop section extending circumferentially at least one full revolution about a generally longitudinal axis of the intravascular filter and filter sheath.
2. The filter system of claim 1, wherein, during deployment, the radial section of the elongated wire is adapted to extend outwardly in a direction substantially orthogonal to the interior wall of the blood vessel.
3. The filter system of claim 1, wherein the hoop section of the elongated wire has a circular shape.
4. The filter system of claim 1, wherein the hoop section of the elongated wire has an elliptical shape.
5. The filter system of claim 1, wherein the first end of the elongated wire is curled.
6. The filter system of claim 1, further comprising a tubular member having an interior lumen adapted to contain the centering hoop in a substantially straight position.
7. The filter system of claim 6, wherein the tubular member is coupled to the apical head.
8. The filter system of claim 6, wherein the tubular member is movably disposed relative to the intravascular filter.
9. The filter system of claim 8, wherein the tubular member is coupled to the filter sheath.
10. The filter system of claim 6, wherein the tubular member comprises a hypotube.
11. The filter system of claim 1, wherein the centering hoop is formed from a flexible material.
12. The filter system of claim 11, wherein said flexible material is a linear elastic material.
13. The filter system of claim 11, wherein said flexible material is a shape-memory material.
14. The filter system of claim 1, further comprising a second centering hoop including a second elongated wire adapted to assume a preset shape when deployed within the blood vessel, said second elongated wire having a first end and a proximal end.
15. The filter system of claim 14, wherein the preset shape of the second elongated wire includes a radial section and the hoop section.
16. A filter system, comprising:
an intravascular filter including a plurality of elongated filter legs operatively coupled to an apical head;
wherein the apical head has a proximal end and a distal end;
wherein the elongated filter legs extend proximally from the proximal end of the apical head when the filter is deployed within a blood vessel;
a filter sheath having a first end, a proximal end, and an interior lumen adapted to contain the intravascular filter; and
an elongated wire slidably disposed within an interior lumen of the apical head and including a first end, a proximal end, and a first section adapted to assume a preset shape when deployed within a blood vessel, said preset shape including a radial section and a hoop section, wherein the hoop section is disposed distally of the distal end of the apical head and radially expands against the inner wall of the blood vessel when the filter is deployed and the hoop section extends circumferentially at least one full revolution about a generally longitudinal axis of the intravascular filter and filter sheath.
17. The filter system of claim 16, wherein, during deployment, the radial section of the elongated wire is adapted to extend outwardly in a direction substantially orthogonal to the interior wall of the blood vessel.
18. The filter system of claim 16, wherein the hoop section of the elongated wire has a circular shape.
19. The filter system of claim 16, wherein the hoop section of the elongated wire has an elliptical shape.
20. The filter system of claim 16, wherein the distal end of the elongated wire is curled.
21. The filter system of claim 16, further comprising a tubular member having an interior lumen adapted to contain the centering member in a substantially straight position.
US11/077,584 2005-03-11 2005-03-11 Intravascular filter with centering member Expired - Fee Related US7998164B2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
US11/077,584 US7998164B2 (en) 2005-03-11 2005-03-11 Intravascular filter with centering member
JP2008500714A JP4932822B2 (en) 2005-03-11 2006-02-09 Intravascular filter with centering member
PCT/US2006/004641 WO2006098831A1 (en) 2005-03-11 2006-02-09 Intravascular filter with centering membrane
EP06720575A EP1871283A1 (en) 2005-03-11 2006-02-09 Intravascular filter with centering membrane
EP13166625.7A EP2628463A1 (en) 2005-03-11 2006-02-09 Intravascular filter with centering member
CA002602048A CA2602048A1 (en) 2005-03-11 2006-02-09 Intravascular filter with centering membrane

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US11/077,584 US7998164B2 (en) 2005-03-11 2005-03-11 Intravascular filter with centering member

Publications (2)

Publication Number Publication Date
US20060203769A1 US20060203769A1 (en) 2006-09-14
US7998164B2 true US7998164B2 (en) 2011-08-16

Family

ID=36218278

Family Applications (1)

Application Number Title Priority Date Filing Date
US11/077,584 Expired - Fee Related US7998164B2 (en) 2005-03-11 2005-03-11 Intravascular filter with centering member

Country Status (5)

Country Link
US (1) US7998164B2 (en)
EP (2) EP1871283A1 (en)
JP (1) JP4932822B2 (en)
CA (1) CA2602048A1 (en)
WO (1) WO2006098831A1 (en)

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090198270A1 (en) * 2008-01-11 2009-08-06 Mcguckin Jr James F Vein Filter
US20100049239A1 (en) * 2004-01-22 2010-02-25 Rex Medical, Lp Vein Filter
US8469990B2 (en) 2004-01-22 2013-06-25 Rex Medical, L.P. Vein filter
US9345564B2 (en) 2013-03-15 2016-05-24 Cook Medical Technologies Llc Removable vena cava filter having primary and secondary struts
US9510929B2 (en) 2004-01-22 2016-12-06 Argon Medical Devices, Inc. Vein filter
US10010398B2 (en) 2013-10-01 2018-07-03 Cook Medical Technologies Llc Filter device, system, and method
US10076401B2 (en) 2006-08-29 2018-09-18 Argon Medical Devices, Inc. Vein filter
US11125057B2 (en) 2017-04-19 2021-09-21 Halliburton Energy Services, Inc. Downhole perforator having reduced fluid clearance

Families Citing this family (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7314477B1 (en) 1998-09-25 2008-01-01 C.R. Bard Inc. Removable embolus blood clot filter and filter delivery unit
US9204956B2 (en) 2002-02-20 2015-12-08 C. R. Bard, Inc. IVC filter with translating hooks
US7704267B2 (en) 2004-08-04 2010-04-27 C. R. Bard, Inc. Non-entangling vena cava filter
US7794473B2 (en) 2004-11-12 2010-09-14 C.R. Bard, Inc. Filter delivery system
US8029529B1 (en) 2005-01-19 2011-10-04 C. R. Bard, Inc. Retrievable filter
US8267954B2 (en) 2005-02-04 2012-09-18 C. R. Bard, Inc. Vascular filter with sensing capability
US8025668B2 (en) 2005-04-28 2011-09-27 C. R. Bard, Inc. Medical device removal system
US7967838B2 (en) 2005-05-12 2011-06-28 C. R. Bard, Inc. Removable embolus blood clot filter
US8062327B2 (en) 2005-08-09 2011-11-22 C. R. Bard, Inc. Embolus blood clot filter and delivery system
JP2009519731A (en) 2005-11-18 2009-05-21 シー・アール・バード・インコーポレイテツド Vena cava filter with filament
US8734479B2 (en) * 2005-12-30 2014-05-27 C.R. Bard, Inc. Embolus blood clot filter delivery system
WO2007133366A2 (en) 2006-05-02 2007-11-22 C. R. Bard, Inc. Vena cava filter formed from a sheet
CA2655158A1 (en) 2006-06-05 2007-12-13 C.R. Bard Inc. Embolus blood clot filter utilizable with a single delivery system or a single retrieval system in one of a femoral or jugular access
EP3505136A1 (en) 2009-07-29 2019-07-03 C.R. Bard Inc. Tubular filter
WO2014008431A1 (en) 2012-07-05 2014-01-09 BiO2 Medical, Inc. Multi-lumen sheath central venous catheter with vena cava filter apparatus and method of using same
US9968432B2 (en) * 2013-06-28 2018-05-15 Cook Medical Technologies Llc Occlusion device including bundle of occlusion wires having preformed shapes
EP2918244B1 (en) * 2014-03-15 2016-11-09 Argon Medical Devices, Inc. Vein filter
US10159556B2 (en) * 2014-05-02 2018-12-25 Argon Medical Devices, Inc. Method of inserting a vein filter
GB2531019A (en) 2014-10-07 2016-04-13 Cook Medical Technologies Llc Implantable medical device with improved orientation
KR101897347B1 (en) * 2016-09-27 2018-09-10 인제대학교 산학협력단 Inferior venal cava filter and surgical procedure kit for percutaneous insertion of inferior vena cava filter having the same
WO2019135427A1 (en) * 2018-01-05 2019-07-11 인제대학교 산학협력단 Inferior vena cava filter and procedure kit for installing inferior vena cava filter, comprising same
BR112022001768A2 (en) * 2019-08-20 2022-03-22 Holistick Medical Device and positioning method
KR20210049550A (en) * 2019-10-25 2021-05-06 경북대학교 산학협력단 Blood filter and device for removing thrombus

Citations (145)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3952747A (en) 1974-03-28 1976-04-27 Kimmell Jr Garman O Filter and filter insertion instrument
US3996938A (en) 1975-07-10 1976-12-14 Clark Iii William T Expanding mesh catheter
US4425908A (en) * 1981-10-22 1984-01-17 Beth Israel Hospital Blood clot filter
US4494531A (en) 1982-12-06 1985-01-22 Cook, Incorporated Expandable blood clot filter
US4512338A (en) 1983-01-25 1985-04-23 Balko Alexander B Process for restoring patency to body vessels
US4619246A (en) 1984-05-23 1986-10-28 William Cook, Europe A/S Collapsible filter basket
US4643184A (en) * 1982-09-29 1987-02-17 Mobin Uddin Kazi Embolus trap
US4650466A (en) 1985-11-01 1987-03-17 Angiobrade Partners Angioplasty device
US4688553A (en) 1984-11-29 1987-08-25 L. G. Medical S.A. Filter, particularly for trapping blood clots
US4727873A (en) 1984-04-17 1988-03-01 Mobin Uddin Kazi Embolus trap
US4781177A (en) 1986-11-17 1988-11-01 Promed Blood clots filtering device
US4793348A (en) 1986-11-15 1988-12-27 Palmaz Julio C Balloon expandable vena cava filter to prevent migration of lower extremity venous clots into the pulmonary circulation
US4817600A (en) 1987-05-22 1989-04-04 Medi-Tech, Inc. Implantable filter
US4832055A (en) 1988-07-08 1989-05-23 Palestrant Aubrey M Mechanically locking blood clot filter
US4926858A (en) 1984-05-30 1990-05-22 Devices For Vascular Intervention, Inc. Atherectomy device for severe occlusions
US4957501A (en) 1987-12-31 1990-09-18 Biomat, S.A.R.L. Anti-embolic filter
US4991602A (en) 1989-06-27 1991-02-12 Flexmedics Corporation Flexible guide wire with safety tip
US4994069A (en) 1988-11-02 1991-02-19 Target Therapeutics Vaso-occlusion coil and method
US5053008A (en) 1990-11-21 1991-10-01 Sandeep Bajaj Intracardiac catheter
US5059205A (en) 1989-09-07 1991-10-22 Boston Scientific Corporation Percutaneous anti-migration vena cava filter
US5067489A (en) 1988-08-16 1991-11-26 Flexmedics Corporation Flexible guide with safety tip
US5108419A (en) 1990-08-16 1992-04-28 Evi Corporation Endovascular filter and method for use thereof
US5152777A (en) 1989-01-25 1992-10-06 Uresil Corporation Device and method for providing protection from emboli and preventing occulsion of blood vessels
US5160342A (en) 1990-08-16 1992-11-03 Evi Corp. Endovascular filter and method for use thereof
US5256146A (en) * 1991-10-11 1993-10-26 W. D. Ensminger Vascular catheterization system with catheter anchoring feature
US5324304A (en) 1992-06-18 1994-06-28 William Cook Europe A/S Introduction catheter set for a collapsible self-expandable implant
US5329942A (en) 1990-08-14 1994-07-19 Cook, Incorporated Method for filtering blood in a blood vessel of a patient
US5350398A (en) 1991-05-13 1994-09-27 Dusan Pavcnik Self-expanding filter for percutaneous insertion
US5354310A (en) 1993-03-22 1994-10-11 Cordis Corporation Expandable temporary graft
US5375612A (en) 1992-04-07 1994-12-27 B. Braun Celsa Possibly absorbable blood filter
US5490859A (en) 1992-11-13 1996-02-13 Scimed Life Systems, Inc. Expandable intravascular occlusion material removal devices and methods of use
US5531788A (en) 1989-10-09 1996-07-02 Foundation Pour L'avenir Pour La Recherche Medicale Appliquee Anti-Pulmonary embolism filter
US5591197A (en) 1995-03-14 1997-01-07 Advanced Cardiovascular Systems, Inc. Expandable stent forming projecting barbs and method for deploying
US5626605A (en) 1991-12-30 1997-05-06 Scimed Life Systems, Inc. Thrombosis filter
US5634942A (en) 1994-04-21 1997-06-03 B. Braun Celsa Assembly comprising a blood filter for temporary or definitive use and a device for implanting it
US5669933A (en) 1996-07-17 1997-09-23 Nitinol Medical Technologies, Inc. Removable embolus blood clot filter
US5681347A (en) 1995-05-23 1997-10-28 Boston Scientific Corporation Vena cava filter delivery system
US5683411A (en) 1994-04-06 1997-11-04 William Cook Europe A/S Medical article for implantation into the vascular system of a patient
US5690671A (en) 1994-12-13 1997-11-25 Micro Interventional Systems, Inc. Embolic elements and methods and apparatus for their delivery
US5695519A (en) 1995-11-30 1997-12-09 American Biomed, Inc. Percutaneous filter for carotid angioplasty
US5709704A (en) 1994-11-30 1998-01-20 Boston Scientific Corporation Blood clot filtering
US5725552A (en) 1994-07-08 1998-03-10 Aga Medical Corporation Percutaneous catheter directed intravascular occlusion devices
US5733294A (en) 1996-02-28 1998-03-31 B. Braun Medical, Inc. Self expanding cardiovascular occlusion device, method of using and method of making the same
US5733329A (en) 1996-12-30 1998-03-31 Target Therapeutics, Inc. Vaso-occlusive coil with conical end
US5746767A (en) 1994-10-25 1998-05-05 Scimed Life Systems, Inc. Removable thrombus filter
US5755790A (en) 1995-04-14 1998-05-26 B. Braun Celsa Intraluminal medical device
US5755779A (en) 1995-12-07 1998-05-26 Horiguchi; Sachio Blood stream adjuster
US5769816A (en) 1995-11-07 1998-06-23 Embol-X, Inc. Cannula with associated filter
US5776162A (en) 1997-01-03 1998-07-07 Nitinol Medical Technologies, Inc. Vessel implantable shape memory appliance with superelastic hinged joint
US5795322A (en) 1995-04-10 1998-08-18 Cordis Corporation Catheter with filter and thrombus-discharge device
US5810874A (en) 1996-02-22 1998-09-22 Cordis Corporation Temporary filter catheter
US5814064A (en) 1997-03-06 1998-09-29 Scimed Life Systems, Inc. Distal protection device
US5827324A (en) * 1997-03-06 1998-10-27 Scimed Life Systems, Inc. Distal protection device
US5836868A (en) 1992-11-13 1998-11-17 Scimed Life Systems, Inc. Expandable intravascular occlusion material removal devices and methods of use
US5853420A (en) 1994-04-21 1998-12-29 B. Braun Celsa Assembly comprising a blood filter for temporary or definitive use and device for implanting it, corresponding filter and method of implanting such a filter
US5893869A (en) 1997-02-19 1999-04-13 University Of Iowa Research Foundation Retrievable inferior vena cava filter system and method for use thereof
US5895410A (en) 1997-09-12 1999-04-20 B. Braun Medical, Inc. Introducer for an expandable vascular occlusion device
US5895398A (en) 1996-02-02 1999-04-20 The Regents Of The University Of California Method of using a clot capture coil
US5897567A (en) 1993-04-29 1999-04-27 Scimed Life Systems, Inc. Expandable intravascular occlusion material removal devices and methods of use
US5910154A (en) 1997-05-08 1999-06-08 Embol-X, Inc. Percutaneous catheter and guidewire having filter and medical device deployment
US5911717A (en) 1997-03-17 1999-06-15 Precision Vascular Systems, Inc. Catheter deliverable thrombogenic apparatus and method
US5935139A (en) 1996-05-03 1999-08-10 Boston Scientific Corporation System for immobilizing or manipulating an object in a tract
US5941869A (en) 1997-02-12 1999-08-24 Prolifix Medical, Inc. Apparatus and method for controlled removal of stenotic material from stents
US5941896A (en) 1997-09-08 1999-08-24 Montefiore Hospital And Medical Center Filter and method for trapping emboli during endovascular procedures
US5957949A (en) 1997-05-01 1999-09-28 World Medical Manufacturing Corp. Percutaneous placement valve stent
US5968071A (en) 1997-01-03 1999-10-19 B. Braun Celsa Blood filtering device having improved permeability
US5976172A (en) 1996-07-03 1999-11-02 Cordis Corporation Retractable temporary vena cava filter
US5984947A (en) 1998-05-04 1999-11-16 Scimed Life Systems, Inc. Removable thrombus filter
US5989281A (en) 1995-11-07 1999-11-23 Embol-X, Inc. Cannula with associated filter and methods of use during cardiac surgery
US6007558A (en) 1998-09-25 1999-12-28 Nitinol Medical Technologies, Inc. Removable embolus blood clot filter
US6013093A (en) 1995-11-28 2000-01-11 Boston Scientific Corporation Blood clot filtering
US6059814A (en) 1997-06-02 2000-05-09 Medtronic Ave., Inc. Filter for filtering fluid in a bodily passageway
US6059825A (en) 1992-03-05 2000-05-09 Angiodynamics, Inc. Clot filter
US6063113A (en) 1995-06-13 2000-05-16 William Cook Europe Aps Device for implantation in a vessel or hollow organ lumen
US6066158A (en) 1996-07-25 2000-05-23 Target Therapeutics, Inc. Mechanical clot encasing and removal wire
US6066149A (en) 1997-09-30 2000-05-23 Target Therapeutics, Inc. Mechanical clot treatment device with distal filter
US6068645A (en) 1999-06-07 2000-05-30 Tu; Hosheng Filter system and methods for removing blood clots and biological material
US6074357A (en) 1996-12-05 2000-06-13 Embol-X, Inc. Cerebral protection during carotid endarterectomy and downstream vascular protection during other surgeries
US6080178A (en) 1999-04-20 2000-06-27 Meglin; Allen J. Vena cava filter
US6093199A (en) 1998-08-05 2000-07-25 Endovascular Technologies, Inc. Intra-luminal device for treatment of body cavities and lumens and method of use
US6096053A (en) 1996-05-03 2000-08-01 Scimed Life Systems, Inc. Medical retrieval basket
US6096052A (en) 1998-07-08 2000-08-01 Ovion, Inc. Occluding device and method of use
US6099549A (en) 1998-07-03 2000-08-08 Cordis Corporation Vascular filter for controlled release
US6123715A (en) 1994-07-08 2000-09-26 Amplatz; Curtis Method of forming medical devices; intravascular occlusion devices
US6125946A (en) 1998-10-08 2000-10-03 Schlumberger Technology Corporation Perforating gun
US6126673A (en) 1993-10-01 2000-10-03 Boston Scientific Corporation Vena cava filter
US6129739A (en) 1999-07-30 2000-10-10 Incept Llc Vascular device having one or more articulation regions and methods of use
US6142987A (en) 1999-08-03 2000-11-07 Scimed Life Systems, Inc. Guided filter with support wire and methods of use
US6146396A (en) 1999-03-05 2000-11-14 Board Of Regents, The University Of Texas System Declotting method and apparatus
US6152947A (en) 1998-04-29 2000-11-28 Embol-X, Inc. Adjustable blood filtration system
US6168603B1 (en) 1995-02-02 2001-01-02 Boston Scientific Corporation Surgical extractor
US6168579B1 (en) 1999-08-04 2001-01-02 Scimed Life Systems, Inc. Filter flush system and methods of use
US6171327B1 (en) 1999-02-24 2001-01-09 Scimed Life Systems, Inc. Intravascular filter and method
US6171328B1 (en) 1999-11-09 2001-01-09 Embol-X, Inc. Intravascular catheter filter with interlocking petal design and methods of use
US6179851B1 (en) 1996-07-17 2001-01-30 Scimed Life Systems, Inc. Guiding catheter for positioning a medical device within an artery
US6187025B1 (en) 1999-09-09 2001-02-13 Noble-Met, Ltd. Vascular filter
US6214025B1 (en) 1994-11-30 2001-04-10 Boston Scientific Corporation Self-centering, self-expanding and retrievable vena cava filter
US6231581B1 (en) 1998-12-16 2001-05-15 Boston Scientific Corporation Implantable device anchors
US6231589B1 (en) 1999-03-22 2001-05-15 Microvena Corporation Body vessel filter
US6235044B1 (en) 1999-08-04 2001-05-22 Scimed Life Systems, Inc. Percutaneous catheter and guidewire for filtering during ablation of mycardial or vascular tissue
US6241746B1 (en) 1998-06-29 2001-06-05 Cordis Corporation Vascular filter convertible to a stent and method
US6245012B1 (en) 1999-03-19 2001-06-12 Nmt Medical, Inc. Free standing filter
US6251122B1 (en) 1999-09-02 2001-06-26 Scimed Life Systems, Inc. Intravascular filter retrieval device and method
US6267776B1 (en) 1999-05-03 2001-07-31 O'connell Paul T. Vena cava filter and method for treating pulmonary embolism
US6273901B1 (en) 1999-08-10 2001-08-14 Scimed Life Systems, Inc. Thrombosis filter having a surface treatment
US6280457B1 (en) 1999-06-04 2001-08-28 Scimed Life Systems, Inc. Polymer covered vaso-occlusive devices and methods of producing such devices
US6280451B1 (en) 1997-10-01 2001-08-28 Scimed Life Systems, Inc. Releasable basket
US6290721B1 (en) 1992-03-31 2001-09-18 Boston Scientific Corporation Tubular medical endoprostheses
US6331184B1 (en) 1999-12-10 2001-12-18 Scimed Life Systems, Inc. Detachable covering for an implantable medical device
US6342063B1 (en) 2000-01-26 2002-01-29 Scimed Life Systems, Inc. Device and method for selectively removing a thrombus filter
US6342064B1 (en) * 1998-12-22 2002-01-29 Nipro Corporation Closure device for transcatheter operation and catheter assembly therefor
US6344041B1 (en) 1996-07-26 2002-02-05 David Kupiecki Aneurysm closure device assembly
US6368338B1 (en) * 1999-03-05 2002-04-09 Board Of Regents, The University Of Texas Occlusion method and apparatus
US6402771B1 (en) 1999-12-23 2002-06-11 Guidant Endovascular Solutions Snare
US20020072764A1 (en) * 2000-06-29 2002-06-13 Concentric Medical, Inc. Systems, method and devices for removing obstructions from a blood vessel
US20020099437A1 (en) 1996-07-16 2002-07-25 Anson Anthony Walter Surgical implants and delivery systems therefor
US6436121B1 (en) 2001-04-30 2002-08-20 Paul H. Blom Removable blood filter
US20020116024A1 (en) 2001-02-20 2002-08-22 Uresil Corporation Blood clot filtering system
US6443972B1 (en) 1997-11-19 2002-09-03 Cordis Europa N.V. Vascular filter
US6443971B1 (en) 1999-12-21 2002-09-03 Advanced Cardiovascular Systems, Inc. System for, and method of, blocking the passage of emboli through a vessel
US6447530B1 (en) 1996-11-27 2002-09-10 Scimed Life Systems, Inc. Atraumatic anchoring and disengagement mechanism for permanent implant device
US6458139B1 (en) 1999-06-21 2002-10-01 Endovascular Technologies, Inc. Filter/emboli extractor for use in variable sized blood vessels
US6468290B1 (en) 2000-06-05 2002-10-22 Scimed Life Systems, Inc. Two-planar vena cava filter with self-centering capabilities
US20020161393A1 (en) 1999-07-30 2002-10-31 Demond Jackson F. Vascular device for emboli and thrombi removal and methods of use
US6482222B1 (en) 2000-07-11 2002-11-19 Rafael Medical Technologies Inc. Intravascular filter
US6527962B1 (en) 1999-11-26 2003-03-04 B. Braun Medical Blood filter having legs and centering elements integrally manufactured
US6537294B1 (en) 2000-10-17 2003-03-25 Advanced Cardiovascular Systems, Inc. Delivery systems for embolic filter devices
US6540767B1 (en) 2000-02-08 2003-04-01 Scimed Life Systems, Inc. Recoilable thrombosis filtering device and method
US6551342B1 (en) 2001-08-24 2003-04-22 Endovascular Technologies, Inc. Embolic filter
US6562058B2 (en) * 2001-03-02 2003-05-13 Jacques Seguin Intravascular filter system
US6562031B2 (en) * 1999-02-24 2003-05-13 Scime Life Systems, Inc. Guide wire system for RF recanalization of vascular blockages
US20030208227A1 (en) 2000-08-04 2003-11-06 John Thomas Temporary vascular filters and methods
US20030208253A1 (en) 2002-05-01 2003-11-06 Ted Beyer Blood clot filter
US6652558B2 (en) 2000-10-20 2003-11-25 Angiodynamics, Inc. Convertible blood clot filter
US6660021B1 (en) 1999-12-23 2003-12-09 Advanced Cardiovascular Systems, Inc. Intravascular device and system
US6755847B2 (en) 2001-10-05 2004-06-29 Scimed Life Systems, Inc. Emboli capturing device and method of manufacture therefor
US20040133269A1 (en) 2001-05-07 2004-07-08 Elchanan Bruckheimer Intravascular platforms and associated devices
US6783538B2 (en) 2001-06-18 2004-08-31 Rex Medical, L.P Removable vein filter
US6793665B2 (en) 2001-06-18 2004-09-21 Rex Medical, L.P. Multiple access vein filter
US20040225354A1 (en) * 2003-04-30 2004-11-11 Medtronic Vascular, Inc. Percutaneously delivered temporary valve Assembly
US6878153B2 (en) 2001-07-02 2005-04-12 Rubicon Medical, Inc. Methods, systems, and devices for providing embolic protection and removing embolic material
US6918921B2 (en) 1999-05-07 2005-07-19 Salviac Limited Support frame for an embolic protection device
US6951570B2 (en) 2001-07-02 2005-10-04 Rubicon Medical, Inc. Methods, systems, and devices for deploying a filter from a filter device
US8179859B2 (en) 2008-02-21 2012-05-15 Wang Ynjiun P Roaming encoded information reading terminal
US8217600B2 (en) 2009-09-14 2012-07-10 Jtekt Corporation Motor control device and electric power steering system

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH11318910A (en) * 1997-11-25 1999-11-24 Boston Scient Corp Atraumatic anchoring and disengagement mechanism for permanent implanting device
US6179859B1 (en) * 1999-07-16 2001-01-30 Baff Llc Emboli filtration system and methods of use
US6217600B1 (en) * 2000-01-26 2001-04-17 Scimed Life Systems, Inc. Thrombus filter with break-away anchor members
WO2004050161A1 (en) * 2002-12-02 2004-06-17 Wilson-Cook Medical Inc. Loop tip wire guide
DE602004014589D1 (en) * 2003-01-31 2008-08-07 Cordis Corp FILTER RECOVERY CATHETER SYSTEM AND METHOD
US7232462B2 (en) * 2004-03-31 2007-06-19 Cook Incorporated Self centering delivery catheter

Patent Citations (165)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3952747A (en) 1974-03-28 1976-04-27 Kimmell Jr Garman O Filter and filter insertion instrument
US3996938A (en) 1975-07-10 1976-12-14 Clark Iii William T Expanding mesh catheter
US4425908A (en) * 1981-10-22 1984-01-17 Beth Israel Hospital Blood clot filter
US4643184A (en) * 1982-09-29 1987-02-17 Mobin Uddin Kazi Embolus trap
US4494531A (en) 1982-12-06 1985-01-22 Cook, Incorporated Expandable blood clot filter
US4512338A (en) 1983-01-25 1985-04-23 Balko Alexander B Process for restoring patency to body vessels
US4727873A (en) 1984-04-17 1988-03-01 Mobin Uddin Kazi Embolus trap
US4619246A (en) 1984-05-23 1986-10-28 William Cook, Europe A/S Collapsible filter basket
US4926858A (en) 1984-05-30 1990-05-22 Devices For Vascular Intervention, Inc. Atherectomy device for severe occlusions
US4688553A (en) 1984-11-29 1987-08-25 L. G. Medical S.A. Filter, particularly for trapping blood clots
US4650466A (en) 1985-11-01 1987-03-17 Angiobrade Partners Angioplasty device
US4793348A (en) 1986-11-15 1988-12-27 Palmaz Julio C Balloon expandable vena cava filter to prevent migration of lower extremity venous clots into the pulmonary circulation
US4781177A (en) 1986-11-17 1988-11-01 Promed Blood clots filtering device
US4817600A (en) 1987-05-22 1989-04-04 Medi-Tech, Inc. Implantable filter
US4957501A (en) 1987-12-31 1990-09-18 Biomat, S.A.R.L. Anti-embolic filter
US4832055A (en) 1988-07-08 1989-05-23 Palestrant Aubrey M Mechanically locking blood clot filter
US5067489A (en) 1988-08-16 1991-11-26 Flexmedics Corporation Flexible guide with safety tip
US4994069A (en) 1988-11-02 1991-02-19 Target Therapeutics Vaso-occlusion coil and method
US5152777A (en) 1989-01-25 1992-10-06 Uresil Corporation Device and method for providing protection from emboli and preventing occulsion of blood vessels
US4991602A (en) 1989-06-27 1991-02-12 Flexmedics Corporation Flexible guide wire with safety tip
US5059205A (en) 1989-09-07 1991-10-22 Boston Scientific Corporation Percutaneous anti-migration vena cava filter
US5531788A (en) 1989-10-09 1996-07-02 Foundation Pour L'avenir Pour La Recherche Medicale Appliquee Anti-Pulmonary embolism filter
US5329942A (en) 1990-08-14 1994-07-19 Cook, Incorporated Method for filtering blood in a blood vessel of a patient
US5108419A (en) 1990-08-16 1992-04-28 Evi Corporation Endovascular filter and method for use thereof
US5160342A (en) 1990-08-16 1992-11-03 Evi Corp. Endovascular filter and method for use thereof
US5053008A (en) 1990-11-21 1991-10-01 Sandeep Bajaj Intracardiac catheter
US5350398A (en) 1991-05-13 1994-09-27 Dusan Pavcnik Self-expanding filter for percutaneous insertion
US5256146A (en) * 1991-10-11 1993-10-26 W. D. Ensminger Vascular catheterization system with catheter anchoring feature
US5626605A (en) 1991-12-30 1997-05-06 Scimed Life Systems, Inc. Thrombosis filter
US6059825A (en) 1992-03-05 2000-05-09 Angiodynamics, Inc. Clot filter
US6290721B1 (en) 1992-03-31 2001-09-18 Boston Scientific Corporation Tubular medical endoprostheses
US5375612A (en) 1992-04-07 1994-12-27 B. Braun Celsa Possibly absorbable blood filter
US5324304A (en) 1992-06-18 1994-06-28 William Cook Europe A/S Introduction catheter set for a collapsible self-expandable implant
US5490859A (en) 1992-11-13 1996-02-13 Scimed Life Systems, Inc. Expandable intravascular occlusion material removal devices and methods of use
US5836868A (en) 1992-11-13 1998-11-17 Scimed Life Systems, Inc. Expandable intravascular occlusion material removal devices and methods of use
US5354310A (en) 1993-03-22 1994-10-11 Cordis Corporation Expandable temporary graft
US5897567A (en) 1993-04-29 1999-04-27 Scimed Life Systems, Inc. Expandable intravascular occlusion material removal devices and methods of use
US6126673A (en) 1993-10-01 2000-10-03 Boston Scientific Corporation Vena cava filter
US5683411A (en) 1994-04-06 1997-11-04 William Cook Europe A/S Medical article for implantation into the vascular system of a patient
US6193739B1 (en) 1994-04-21 2001-02-27 B. Braun Celsa Assembly comprising a blood filter for temporary or definitive use and a device for implanting it, corresponding filter and method of implanting such a filter
US5634942A (en) 1994-04-21 1997-06-03 B. Braun Celsa Assembly comprising a blood filter for temporary or definitive use and a device for implanting it
US5853420A (en) 1994-04-21 1998-12-29 B. Braun Celsa Assembly comprising a blood filter for temporary or definitive use and device for implanting it, corresponding filter and method of implanting such a filter
US6123715A (en) 1994-07-08 2000-09-26 Amplatz; Curtis Method of forming medical devices; intravascular occlusion devices
US5725552A (en) 1994-07-08 1998-03-10 Aga Medical Corporation Percutaneous catheter directed intravascular occlusion devices
US6447531B1 (en) 1994-07-08 2002-09-10 Aga Medical Corporation Method of forming medical devices; intravascular occlusion devices
US5746767A (en) 1994-10-25 1998-05-05 Scimed Life Systems, Inc. Removable thrombus filter
US5709704A (en) 1994-11-30 1998-01-20 Boston Scientific Corporation Blood clot filtering
US6214025B1 (en) 1994-11-30 2001-04-10 Boston Scientific Corporation Self-centering, self-expanding and retrievable vena cava filter
US5690671A (en) 1994-12-13 1997-11-25 Micro Interventional Systems, Inc. Embolic elements and methods and apparatus for their delivery
US6165198A (en) 1994-12-13 2000-12-26 Medtronic, Inc. Embolic elements and methods and apparatus for their delivery
US6168603B1 (en) 1995-02-02 2001-01-02 Boston Scientific Corporation Surgical extractor
US5591197A (en) 1995-03-14 1997-01-07 Advanced Cardiovascular Systems, Inc. Expandable stent forming projecting barbs and method for deploying
US5795322A (en) 1995-04-10 1998-08-18 Cordis Corporation Catheter with filter and thrombus-discharge device
US5755790A (en) 1995-04-14 1998-05-26 B. Braun Celsa Intraluminal medical device
US5681347A (en) 1995-05-23 1997-10-28 Boston Scientific Corporation Vena cava filter delivery system
US5951585A (en) 1995-05-23 1999-09-14 Boston Scientific Corporation Vena cava delivery system
US6165179A (en) 1995-05-23 2000-12-26 Boston Scientific Corporation Vena cava delivery system
US6063113A (en) 1995-06-13 2000-05-16 William Cook Europe Aps Device for implantation in a vessel or hollow organ lumen
US5980555A (en) 1995-11-07 1999-11-09 Embol-X, Inc. Method of using cannula with associated filter during cardiac surgery
US5989281A (en) 1995-11-07 1999-11-23 Embol-X, Inc. Cannula with associated filter and methods of use during cardiac surgery
US6235045B1 (en) 1995-11-07 2001-05-22 Embol-X, Inc. Cannula with associated filter and methods of use
US6136016A (en) 1995-11-07 2000-10-24 Embol-X, Inc. Cannula with associated filter and methods of use during cardiac surgery
US5769816A (en) 1995-11-07 1998-06-23 Embol-X, Inc. Cannula with associated filter
US6117154A (en) 1995-11-07 2000-09-12 Embol-X, Inc. Cannula with associated filter and methods of use during cardiac surgery
US6013093A (en) 1995-11-28 2000-01-11 Boston Scientific Corporation Blood clot filtering
US5695519A (en) 1995-11-30 1997-12-09 American Biomed, Inc. Percutaneous filter for carotid angioplasty
US5755779A (en) 1995-12-07 1998-05-26 Horiguchi; Sachio Blood stream adjuster
US5895398A (en) 1996-02-02 1999-04-20 The Regents Of The University Of California Method of using a clot capture coil
US5810874A (en) 1996-02-22 1998-09-22 Cordis Corporation Temporary filter catheter
US5733294A (en) 1996-02-28 1998-03-31 B. Braun Medical, Inc. Self expanding cardiovascular occlusion device, method of using and method of making the same
US5935139A (en) 1996-05-03 1999-08-10 Boston Scientific Corporation System for immobilizing or manipulating an object in a tract
US6096053A (en) 1996-05-03 2000-08-01 Scimed Life Systems, Inc. Medical retrieval basket
US5976172A (en) 1996-07-03 1999-11-02 Cordis Corporation Retractable temporary vena cava filter
US20020099437A1 (en) 1996-07-16 2002-07-25 Anson Anthony Walter Surgical implants and delivery systems therefor
US5669933A (en) 1996-07-17 1997-09-23 Nitinol Medical Technologies, Inc. Removable embolus blood clot filter
US20020123761A1 (en) 1996-07-17 2002-09-05 Scimed Life Systems, Inc. Methods for aortic atherectomy
US5836968A (en) 1996-07-17 1998-11-17 Nitinol Medical Technologies, Inc. Removable embolus blood clot filter
US6179851B1 (en) 1996-07-17 2001-01-30 Scimed Life Systems, Inc. Guiding catheter for positioning a medical device within an artery
US6066158A (en) 1996-07-25 2000-05-23 Target Therapeutics, Inc. Mechanical clot encasing and removal wire
US6344041B1 (en) 1996-07-26 2002-02-05 David Kupiecki Aneurysm closure device assembly
US6447530B1 (en) 1996-11-27 2002-09-10 Scimed Life Systems, Inc. Atraumatic anchoring and disengagement mechanism for permanent implant device
US6074357A (en) 1996-12-05 2000-06-13 Embol-X, Inc. Cerebral protection during carotid endarterectomy and downstream vascular protection during other surgeries
US5733329A (en) 1996-12-30 1998-03-31 Target Therapeutics, Inc. Vaso-occlusive coil with conical end
US5776162A (en) 1997-01-03 1998-07-07 Nitinol Medical Technologies, Inc. Vessel implantable shape memory appliance with superelastic hinged joint
US5968071A (en) 1997-01-03 1999-10-19 B. Braun Celsa Blood filtering device having improved permeability
US5941869A (en) 1997-02-12 1999-08-24 Prolifix Medical, Inc. Apparatus and method for controlled removal of stenotic material from stents
US5893869A (en) 1997-02-19 1999-04-13 University Of Iowa Research Foundation Retrievable inferior vena cava filter system and method for use thereof
US6053932A (en) 1997-03-06 2000-04-25 Scimed Life Systems, Inc. Distal protection device
US5827324A (en) * 1997-03-06 1998-10-27 Scimed Life Systems, Inc. Distal protection device
US6001118A (en) 1997-03-06 1999-12-14 Scimed Life Systems, Inc. Distal protection device and method
US5814064A (en) 1997-03-06 1998-09-29 Scimed Life Systems, Inc. Distal protection device
US5911717A (en) 1997-03-17 1999-06-15 Precision Vascular Systems, Inc. Catheter deliverable thrombogenic apparatus and method
US6086605A (en) 1997-04-16 2000-07-11 Embol-X, Inc. Cannula with associated filter and methods of use during cardiac surgery
US5957949A (en) 1997-05-01 1999-09-28 World Medical Manufacturing Corp. Percutaneous placement valve stent
US5910154A (en) 1997-05-08 1999-06-08 Embol-X, Inc. Percutaneous catheter and guidewire having filter and medical device deployment
US6027520A (en) 1997-05-08 2000-02-22 Embol-X, Inc. Percutaneous catheter and guidewire having filter and medical device deployment capabilities
US6042598A (en) 1997-05-08 2000-03-28 Embol-X Inc. Method of protecting a patient from embolization during cardiac surgery
US5911734A (en) 1997-05-08 1999-06-15 Embol-X, Inc. Percutaneous catheter and guidewire having filter and medical device deployment capabilities
US6059814A (en) 1997-06-02 2000-05-09 Medtronic Ave., Inc. Filter for filtering fluid in a bodily passageway
US5941896A (en) 1997-09-08 1999-08-24 Montefiore Hospital And Medical Center Filter and method for trapping emboli during endovascular procedures
US5895410A (en) 1997-09-12 1999-04-20 B. Braun Medical, Inc. Introducer for an expandable vascular occlusion device
US6066149A (en) 1997-09-30 2000-05-23 Target Therapeutics, Inc. Mechanical clot treatment device with distal filter
US6280451B1 (en) 1997-10-01 2001-08-28 Scimed Life Systems, Inc. Releasable basket
US6443972B1 (en) 1997-11-19 2002-09-03 Cordis Europa N.V. Vascular filter
US6152947A (en) 1998-04-29 2000-11-28 Embol-X, Inc. Adjustable blood filtration system
US5984947A (en) 1998-05-04 1999-11-16 Scimed Life Systems, Inc. Removable thrombus filter
US6241746B1 (en) 1998-06-29 2001-06-05 Cordis Corporation Vascular filter convertible to a stent and method
US6099549A (en) 1998-07-03 2000-08-08 Cordis Corporation Vascular filter for controlled release
US6096052A (en) 1998-07-08 2000-08-01 Ovion, Inc. Occluding device and method of use
US6093199A (en) 1998-08-05 2000-07-25 Endovascular Technologies, Inc. Intra-luminal device for treatment of body cavities and lumens and method of use
US6007558A (en) 1998-09-25 1999-12-28 Nitinol Medical Technologies, Inc. Removable embolus blood clot filter
US6258026B1 (en) 1998-09-25 2001-07-10 Nitinol Medical Technologies, Inc. Removable embolus blood clot filter and filter delivery unit
US6125946A (en) 1998-10-08 2000-10-03 Schlumberger Technology Corporation Perforating gun
US6231581B1 (en) 1998-12-16 2001-05-15 Boston Scientific Corporation Implantable device anchors
US6342064B1 (en) * 1998-12-22 2002-01-29 Nipro Corporation Closure device for transcatheter operation and catheter assembly therefor
US6562031B2 (en) * 1999-02-24 2003-05-13 Scime Life Systems, Inc. Guide wire system for RF recanalization of vascular blockages
US6171327B1 (en) 1999-02-24 2001-01-09 Scimed Life Systems, Inc. Intravascular filter and method
US6368338B1 (en) * 1999-03-05 2002-04-09 Board Of Regents, The University Of Texas Occlusion method and apparatus
US6146396A (en) 1999-03-05 2000-11-14 Board Of Regents, The University Of Texas System Declotting method and apparatus
US6245012B1 (en) 1999-03-19 2001-06-12 Nmt Medical, Inc. Free standing filter
US6231589B1 (en) 1999-03-22 2001-05-15 Microvena Corporation Body vessel filter
US6080178A (en) 1999-04-20 2000-06-27 Meglin; Allen J. Vena cava filter
US6517559B1 (en) 1999-05-03 2003-02-11 O'connell Paul T. Blood filter and method for treating vascular disease
US6267776B1 (en) 1999-05-03 2001-07-31 O'connell Paul T. Vena cava filter and method for treating pulmonary embolism
US6918921B2 (en) 1999-05-07 2005-07-19 Salviac Limited Support frame for an embolic protection device
US6280457B1 (en) 1999-06-04 2001-08-28 Scimed Life Systems, Inc. Polymer covered vaso-occlusive devices and methods of producing such devices
US6068645A (en) 1999-06-07 2000-05-30 Tu; Hosheng Filter system and methods for removing blood clots and biological material
US6458139B1 (en) 1999-06-21 2002-10-01 Endovascular Technologies, Inc. Filter/emboli extractor for use in variable sized blood vessels
US20020161393A1 (en) 1999-07-30 2002-10-31 Demond Jackson F. Vascular device for emboli and thrombi removal and methods of use
US6129739A (en) 1999-07-30 2000-10-10 Incept Llc Vascular device having one or more articulation regions and methods of use
US6142987A (en) 1999-08-03 2000-11-07 Scimed Life Systems, Inc. Guided filter with support wire and methods of use
US6235044B1 (en) 1999-08-04 2001-05-22 Scimed Life Systems, Inc. Percutaneous catheter and guidewire for filtering during ablation of mycardial or vascular tissue
US6168579B1 (en) 1999-08-04 2001-01-02 Scimed Life Systems, Inc. Filter flush system and methods of use
US6273901B1 (en) 1999-08-10 2001-08-14 Scimed Life Systems, Inc. Thrombosis filter having a surface treatment
US6251122B1 (en) 1999-09-02 2001-06-26 Scimed Life Systems, Inc. Intravascular filter retrieval device and method
US6187025B1 (en) 1999-09-09 2001-02-13 Noble-Met, Ltd. Vascular filter
US6171328B1 (en) 1999-11-09 2001-01-09 Embol-X, Inc. Intravascular catheter filter with interlocking petal design and methods of use
US6527962B1 (en) 1999-11-26 2003-03-04 B. Braun Medical Blood filter having legs and centering elements integrally manufactured
US6331184B1 (en) 1999-12-10 2001-12-18 Scimed Life Systems, Inc. Detachable covering for an implantable medical device
US6443971B1 (en) 1999-12-21 2002-09-03 Advanced Cardiovascular Systems, Inc. System for, and method of, blocking the passage of emboli through a vessel
US6660021B1 (en) 1999-12-23 2003-12-09 Advanced Cardiovascular Systems, Inc. Intravascular device and system
US6402771B1 (en) 1999-12-23 2002-06-11 Guidant Endovascular Solutions Snare
US6342063B1 (en) 2000-01-26 2002-01-29 Scimed Life Systems, Inc. Device and method for selectively removing a thrombus filter
US6540767B1 (en) 2000-02-08 2003-04-01 Scimed Life Systems, Inc. Recoilable thrombosis filtering device and method
US6468290B1 (en) 2000-06-05 2002-10-22 Scimed Life Systems, Inc. Two-planar vena cava filter with self-centering capabilities
US20020072764A1 (en) * 2000-06-29 2002-06-13 Concentric Medical, Inc. Systems, method and devices for removing obstructions from a blood vessel
US6482222B1 (en) 2000-07-11 2002-11-19 Rafael Medical Technologies Inc. Intravascular filter
US20030208227A1 (en) 2000-08-04 2003-11-06 John Thomas Temporary vascular filters and methods
US6537294B1 (en) 2000-10-17 2003-03-25 Advanced Cardiovascular Systems, Inc. Delivery systems for embolic filter devices
US6652558B2 (en) 2000-10-20 2003-11-25 Angiodynamics, Inc. Convertible blood clot filter
US6506205B2 (en) 2001-02-20 2003-01-14 Mark Goldberg Blood clot filtering system
US20020116024A1 (en) 2001-02-20 2002-08-22 Uresil Corporation Blood clot filtering system
US6562058B2 (en) * 2001-03-02 2003-05-13 Jacques Seguin Intravascular filter system
US6436121B1 (en) 2001-04-30 2002-08-20 Paul H. Blom Removable blood filter
US20040133269A1 (en) 2001-05-07 2004-07-08 Elchanan Bruckheimer Intravascular platforms and associated devices
US6793665B2 (en) 2001-06-18 2004-09-21 Rex Medical, L.P. Multiple access vein filter
US6783538B2 (en) 2001-06-18 2004-08-31 Rex Medical, L.P Removable vein filter
US6878153B2 (en) 2001-07-02 2005-04-12 Rubicon Medical, Inc. Methods, systems, and devices for providing embolic protection and removing embolic material
US6951570B2 (en) 2001-07-02 2005-10-04 Rubicon Medical, Inc. Methods, systems, and devices for deploying a filter from a filter device
US6551342B1 (en) 2001-08-24 2003-04-22 Endovascular Technologies, Inc. Embolic filter
US6755847B2 (en) 2001-10-05 2004-06-29 Scimed Life Systems, Inc. Emboli capturing device and method of manufacture therefor
US20030208253A1 (en) 2002-05-01 2003-11-06 Ted Beyer Blood clot filter
US20040225354A1 (en) * 2003-04-30 2004-11-11 Medtronic Vascular, Inc. Percutaneously delivered temporary valve Assembly
US8179859B2 (en) 2008-02-21 2012-05-15 Wang Ynjiun P Roaming encoded information reading terminal
US8217600B2 (en) 2009-09-14 2012-07-10 Jtekt Corporation Motor control device and electric power steering system

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100049239A1 (en) * 2004-01-22 2010-02-25 Rex Medical, Lp Vein Filter
US8469990B2 (en) 2004-01-22 2013-06-25 Rex Medical, L.P. Vein filter
US8500774B2 (en) 2004-01-22 2013-08-06 Rex Medical, L.P. Vein filter
US8864793B2 (en) 2004-01-22 2014-10-21 Rex Medical, L.P. Vein filter
US9510929B2 (en) 2004-01-22 2016-12-06 Argon Medical Devices, Inc. Vein filter
US10076401B2 (en) 2006-08-29 2018-09-18 Argon Medical Devices, Inc. Vein filter
US20090198270A1 (en) * 2008-01-11 2009-08-06 Mcguckin Jr James F Vein Filter
US9345564B2 (en) 2013-03-15 2016-05-24 Cook Medical Technologies Llc Removable vena cava filter having primary and secondary struts
US10010398B2 (en) 2013-10-01 2018-07-03 Cook Medical Technologies Llc Filter device, system, and method
US11125057B2 (en) 2017-04-19 2021-09-21 Halliburton Energy Services, Inc. Downhole perforator having reduced fluid clearance

Also Published As

Publication number Publication date
EP2628463A1 (en) 2013-08-21
JP4932822B2 (en) 2012-05-16
EP1871283A1 (en) 2008-01-02
CA2602048A1 (en) 2006-09-21
US20060203769A1 (en) 2006-09-14
WO2006098831A1 (en) 2006-09-21
JP2008532622A (en) 2008-08-21

Similar Documents

Publication Publication Date Title
US7998164B2 (en) Intravascular filter with centering member
US7896898B2 (en) Self-centering blood clot filter
US7534251B2 (en) Retrievable IVC filter
US7892252B2 (en) Centering intravascular filters and devices and methods for deploying and retrieving intravascular filters
EP1706062B1 (en) Retrievable blood clot filter with retractable anchoring members
US20070005105A1 (en) Temporary vascular filter
US20060015137A1 (en) Retrievable intravascular filter with bendable anchoring members
JP2005506871A (en) Embolic extraction tool
CA2521349A1 (en) Embolectomy devices
US20060229658A1 (en) Embolic protection filter with reduced landing zone
EP2768427B1 (en) Femoral removal vena cava filter
WO2003088805A2 (en) A medical device
US9724184B2 (en) Filter with deployable anchors
WO2003088869A2 (en) A medical device
IE20030283A1 (en) A support for an embolic protection filter
IE20030284A1 (en) A support for an embolic protection filter

Legal Events

Date Code Title Description
AS Assignment

Owner name: BOSTON SCIENTIFIC SCIMED, INC., MINNESOTA

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:SAHOLT, DOUGLAS R.;RASSAT, JAY;BEULKE, MEL R.;AND OTHERS;SIGNING DATES FROM 20050228 TO 20050309;REEL/FRAME:015917/0005

Owner name: BOSTON SCIENTIFIC SCIMED, INC., MINNESOTA

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:SAHOLT, DOUGLAS R.;RASSAT, JAY;BEULKE, MEL R.;AND OTHERS;REEL/FRAME:015917/0005;SIGNING DATES FROM 20050228 TO 20050309

AS Assignment

Owner name: LIFESCREEN SCIENCES LLC, TEXAS

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:ACACIA RESEARCH GROUP LLC;REEL/FRAME:029809/0314

Effective date: 20130119

Owner name: ACACIA RESEARCH GROUP LLC, TEXAS

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:BOSTON SCIENTIFIC SCIMED, INC.;REEL/FRAME:029809/0251

Effective date: 20130118

REMI Maintenance fee reminder mailed
LAPS Lapse for failure to pay maintenance fees
STCH Information on status: patent discontinuation

Free format text: PATENT EXPIRED DUE TO NONPAYMENT OF MAINTENANCE FEES UNDER 37 CFR 1.362

FP Lapsed due to failure to pay maintenance fee

Effective date: 20150816